ICD-10-PCS 2027 procedure code
B5191ZAFluoroscopy of Inferior Vena Cava using Low Osmolar Contrast, Guidance
Short description: Fluoroscopy of Inf Vena Cava using L Osm Contrast, Guidance
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About B5191ZA
B5191ZA is the ICD-10-PCS code for a fluoroscopy procedure on the inferior vena cava using a low osmolar approach with none (qualifier: guidance). In ICD-10-PCS, fluoroscopy means single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means.
In plain terms, this corresponds to angiocardiography of venae cavae, the ICD-9-CM procedure title it maps to (88.51).
For a different body part, codes include B5101ZA (epidural veins), B5111ZA (cerebral and cerebellar veins), B5121ZA (intracranial sinuses), B5131ZA (right jugular veins), B5141ZA (left jugular veins), B5151ZA (bilateral jugular veins) and 21 more.
The same procedure with a different approach is coded B5190ZA (high osmolar), B519YZA (other contrast) and B519ZZA (none).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
It has been valid since ICD-10-PCS took effect on October 1, 2015.
What each character means
- 1. Section
- BImaging
- 2. Body System
- 5Veins
- 3. Type
- 1Fluoroscopy
Single plane or bi-plane real time display of an image developed from the capture of external ionizing radiation on a fluorescent screen. The image may also be stored by either digital or analog means
- 4. Body Part
- 9Inferior Vena Cava
- 5. Contrast
- 1Low Osmolar
- 6. Qualifier
- ZNone
- 7. Qualifier
- AGuidance
Other versions of this procedure
Different body part
- B5101ZAEpidural Veins
- B5111ZACerebral and Cerebellar Veins
- B5121ZAIntracranial Sinuses
- B5131ZAJugular Veins, Right
- B5141ZAJugular Veins, Left
- B5151ZAJugular Veins, Bilateral
- B5161ZASubclavian Vein, Right
- B5171ZASubclavian Vein, Left
- B5181ZASuperior Vena Cava
- B51B1ZALower Extremity Veins, Right
- B51C1ZALower Extremity Veins, Left
- B51D1ZALower Extremity Veins, Bilateral
Different contrast
Different qualifier
ICD-9-CM equivalent
Converter →- 88.51Angiocardiography of venae cavaeapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.